SARS的影像学动态随访(附15例报告)  

Imaging Dynamic Follow-up of SARS:A Report of 15 Cases

作　　者：范勇[1] 李萍[1] 刘钢[1] 程湘[1] 王继刚[1] 姜会生[1] 宛金戎[1] 崔军[1] 李龙[1] 马遵义[1] 

机构地区：[1]天津市海河医院放射科,天津300350

出　　处：《实用放射学杂志》2006年第5期540-542,共3页Journal of Practical Radiology

摘　　要：目的随访SARS患者肺部影像学表现。方法对15例SARS患者行7个月影像学动态检查并进行分析。结果螺旋CT病变检出率明显高于X线平片(t=5.5228,P<0.01)和普通CT(t=2.5888,P<0.01)。渗出性病变在2个月后仍见缓慢吸收。15例患者中,13例在CT上见残留病变,主要表现为磨玻璃样阴影,HRCT表现为细网状阴影。多位于双侧(10/13)和下叶(11/13)。结论SARS的影像学随访应首选螺旋CT结合HRCT,发病2个月后渗出病变基本吸收,残留病变吸收缓慢。Objective To follow - up the imaging findings in the SARS. Methods The serial thoracic images in 15 cases of SARS were taken in 7 months from the onset of this disease, and the imaging findings were analysed. Results The detecting rate of the pathological changes in lung by spiral CT was higher than that of X - ray film （ t = 5. 5228,P 〈 0. 01 ） or general CT （ t = 2. 5888, P 〈 0. 01 ）. The lung .infiltration lesions were basely resorpted 2 months later,but the remained lesions were still seen on CT scans and mostly tended to be ground -glass opacification in 13 cases,while these lesions showed as net -like shadows on HRCT. The lesions tended to be bilaterally distribution and lower lung field involvement was commonly seen. Conclusion Spiral CT combined with HRCT scanning is the best choice in followed - up examine of SARS . Most of the infiltration shadows had been absorbed 2 months later of the onset of SARS . The remained lesions are absorbed slowly.

关 键 词：胸 严重急性呼吸综合征 X线摄影术 体层摄影术 X线计算机 

分 类 号：R563.8[医药卫生—呼吸系统] R814.41[医药卫生—内科学]